Post-Occupancy Evaluation of a Mental Healthcare Facility Based on Staff Perceptions of Design Innovations

2017 ◽  
Vol 10 (4) ◽  
pp. 121-135 ◽  
Author(s):  
Saleh Kalantari ◽  
Robin Snell
Keyword(s):  
Mental Healthcare ◽  
Healthcare Facility ◽  
Hospital Staff ◽  
Practical Implementation ◽  
Specific Design ◽  
Staff Perceptions ◽  
Healthcare Facilities ◽  
Post Occupancy Evaluation ◽  
Healthcare Settings ◽  
The Impact

Objectives: This study was a post-occupancy evaluation (POE) to examine the effectiveness of three specific design innovations in a mental healthcare facility. In addition to collecting data about the impact of these specific designs, the study provides a model for the broader implementation of POE approaches in the mental healthcare context. Background: POEs in general healthcare settings have been shown to lead to better work environments and better outcomes for patients. Despite growing evidence of the value provided by POE studies, the industry has been somewhat slow to adopt their regular use, in part due to unfamiliarity with the POE process. This is particularly true in mental healthcare contexts, where POE studies remain virtually nonexistent. Method: In-depth interviews and a widely distributed, anonymous survey were used to collect hospital staff perceptions and feedback regarding the impact of specific design features. Results: The hospital staff were quite enthusiastic about two of the design innovations studied here (a new wayfinding strategy and the use of vibrant colors in specific areas of the facility). The third innovation, open-style communication centers, elicited more mixed evaluations. The results include extensive hypothesis testing about the effects of each innovation as well as narrative discussions of their pros and cons. Conclusions: The study generated new knowledge about three specific mental healthcare design innovations and provides a model for the practical implementation of a POE approach in mental healthcare contexts. The results are particularly relevant for designers who are considering innovative strategies in future mental healthcare facilities.

The implementation of evidence-based infection prevention in healthcare facilities in Egypt: A systematic literature review

2021 ◽  
Vol 1 (2) ◽  
pp. 093-099
Author(s):  
Nermeen Abdel-Fattah Shehab ◽  
Ahmed Atef Faggal ◽  
Ashraf Ali Nessim
Keyword(s):  
Infection Prevention ◽  
Healthcare Providers ◽  
Healthcare Facility ◽  
Hospital Staff ◽  
Evidence Based ◽  
Surveillance Systems ◽  
Environment Design ◽  
Environmental Interventions ◽  
Healthcare Facilities ◽  
The Impact

The idea of searching: This study tends to assess the impact of implementing evidence-based infection prevention in healthcare facilities in Egypt, with the aim of improving surveillance systems and altering the facility designs according to the data acquired on HAIs patterns. Background: Hospital acquired infections (HAIs) are becoming one of the major concerns for the patients and healthcare providers leading to significant increase in mortality rates, morbidity rates and financial losses for healthcare organizations. The incidence rate of HAI in Egypt was as recorded as 3.7% recently. Certain environmental interventions, implemented during construction of the healthcare facility could lead to enhanced prevention against the transmission and spread of the HAIs. Studies revealed that the integration of Surveillance programs could provide evidence for the designers to alter the healthcare facility design with the aim of infection prevention. Therefore, EBD approach is used to potentially measure psychological and physical effects of the environment design of a health facility on the patients and hospital staff. Methodology: Previous scientific literature is assessed to collect the relevant data which is then organized and analyzed in this study. A systematic review is generated based on the analytical outcomes of the selected data. Conclusion: EBD approach has the potential to prominently decrease HAIs burden in Egyptian healthcare facilities as it provides a diverse insight into the layout, equipment, and materials that contribute in the transmission of pathogens due to faulty design. Findings and recommendations: In order to improve the poor indoor quality by MEP (mechanical, electrical, and plumbing), previous studies have also indicated certain solutions including advancements in private room, improved surface selections, isolation, integration of touchless systems, and enhanced ventilation systems that must be applied in the healthcare facilities in Egypt for infection prevention.

scholarly journals Assessing the role of inter-facility patient transfer in the spread of carbapenemase-producing Enterobacteriaceae: the case of France between 2012 and 2015

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Narimane Nekkab ◽  
Pascal Crépey ◽  
Pascal Astagneau ◽  
Lulla Opatowski ◽  
Laura Temime
Keyword(s):  
Control Strategies ◽  
Patient Transfer ◽  
Spatial Distance ◽  
Patient Transfers ◽  
Healthcare Facilities ◽  
Healthcare Settings ◽  
The Impact ◽  
Local Transmission

Abstract The spread of carbapenemase-producing Enterobacteriaceae (CPE) in healthcare settings is a major public health threat that has been associated with cross-border and local patient transfers between healthcare facilities. Since the impact of transfers on spread may vary, our study aimed to assess the contribution of a patient transfer network on CPE incidence and spread at a countrywide level, with a case study of France from 2012 to 2015. Our results suggest a transition in 2013 from a CPE epidemic sustained by internationally imported episodes to an epidemic sustained by local transmission events through patient transfers. Incident episodes tend to occur within close spatial distance of their potential infector. We also observe an increasing frequency of multiple spreading events, originating from a limited number of regional hubs. Consequently, coordinated prevention and infection control strategies should focus on transfers of carriers of CPE to reduce regional and inter-regional transmission.

Medicine’s Melodies: On the Costs & Benefits of Music, Soundscapes, & Noise in Healthcare Settings

2019 ◽  
Vol 11 (4) ◽  
pp. 211
Author(s):  
Charles Spence ◽  
Steve Keller
Keyword(s):  
Positive Impact ◽  
Well Being ◽  
Hospital Staff ◽  
Operational Environment ◽  
Experience Economy ◽  
Healthcare Provision ◽  
Healthcare Settings ◽  
Point Of Entry ◽  
Multisensory Environment ◽  
The Impact

A large and growing body of empirical research now demonstrates the positive impact that music and other auditory stimuli (such as nature soundscapes) can have across the entire spectrum of the healthcare ecosystem. From the point of entry and onward to the operating room/theatre, in the peri-operational environment, patient wards, and medical waiting rooms, music affects all of those who hear it: Patients, their families, surgeons, caregivers, and hospital staff alike. In the age of the “experience economy,” where patients are considered both guests and consumers, private healthcare is increasingly starting to focus on customer satisfaction, and its impact on both financial performance and (not unrelated) health outcomes. In this review, we summarize the latest evidence concerning the impact of music, soundscapes, and noise, on medical outcomes and healthcare provision. We highlight the importance of the auditory (and, ultimately, the multisensory) environment, not only for health and well-being, but also in terms of improving patient satisfaction and managing costs.KEYWORDS: MUSIC; MEDICINE; ATMOSPHERICS; SOUNDSCAPES

The Impact of Environmental Design on Teamwork and Communication in Healthcare Facilities: A Systematic Literature Review

2017 ◽  
Vol 11 (1) ◽  
pp. 119-137 ◽  
Author(s):  
Arsalan Gharaveis ◽  
D. Kirk Hamilton ◽  
Debajyoti Pati
Keyword(s):  
Built Environment ◽  
English Language ◽  
Current Knowledge ◽  
Relevant Literature ◽  
Environmental Design ◽  
Healthcare Facility ◽  
Environmental Research ◽  
Design Environment ◽  
Healthcare Facilities ◽  
The Impact

The purpose of this systematic review is to investigate the current knowledge about the impact of healthcare facility design on teamwork and communication by exploring the relevant literature. Teamwork and communication are behavioral factors that are impacted by physical design. However, the effects of environmental factors on teamwork and communication have not been investigated extensively in healthcare design literature. There are no published systematic reviews on the current topic. Searches were conducted in PubMed and Google Scholar databases in addition to targeted design journals including Health Environmental Research & Design, Environment and Behavior, Environmental Psychology, and Applied Ergonomics. Inclusion criteria were (a) full-text English language articles related to teamwork and communication and (b) involving any healthcare built environment and space design published in peer-reviewed journals between 1984 and 2017. Studies were extracted using defined inclusion and exclusion criteria. In the first phase, 26 of the 195 articles most relevant to teamwork and 19 studies of the 147 were identified and reviewed to understand the impact of communication in healthcare facilities. The literature regarding the impact of built environment on teamwork and communication were reviewed and explored in detail. Eighteen studies were selected and succinctly summarized as the final product of this review. Environmental design, which involves nurses, support staff, and physicians, is one of the critical factors that promotes the efficiency of teamwork and collaborative communication. Layout design, visibility, and accessibility levels are the most cited aspects of design which can affect the level of communication and teamwork in healthcare facilities.

scholarly journals Quality of service, safety and protection of privacy in hospital: a method for impact assessment of RFId technology in healthcare

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
S. Sbrenni ◽  
A. Chiapparelli
Keyword(s):  
Radio Frequency Identification ◽  
Methodological Approach ◽  
Health Indicators ◽  
Hospital Staff ◽  
Health Care Facilities ◽  
Rfid Technology ◽  
Sensitive Data ◽  
Healthcare Facilities ◽  
The Impact

Background: Radio Frequency Identification (RFId) technology is rapidly integrating into hospital practices to track assets, identify patients and manage personnel; it is important to assess its impact on privacy, safety and quality of health services. Objective: This paper describes the methodological approach adopted and the tools used by the authors to evaluate the quality and effectiveness of applications and systems using RFId technology in health care facilities to solve problems due to lack of traceability. Methods: To analyse the actual and/or potential effects of this technology, the method adopted is taken from the multidisciplinary approach of Health Technology Assessment (HTA), with particular reference to the assessment of quality of services provided, of safety and of protection of personal and sensitive data. Tools developed during the research include survey, verbal questioning and interviews involving hospital staff members (Management, Technical, Clinical&Service Implementation), and audit in Italian healthcare facilities. Results: We identified the current applications and technical characteristics of RFId technology and we calculated priority levels to determine impact health indicators. Results were used for evaluate the diffusion, the applications and the characteristics of RFId technology and also for calculate its impact on healthcare processes. Conclusions: Using the tools described in this paper, health managers can evaluate the impact of the RFId-based applications in their healthcare structure.

scholarly journals Internet of Things Buttons for Real-time Notifications in Hospital Operations (Preprint)

2018 ◽  
Author(s):  
Peter Ray Chai ◽  
Haipeng Zhang ◽  
Christopher W Baugh ◽  
Guruprasad D Jambaulikar ◽  
Jonathan C McCabe ◽  
...  
Keyword(s):  
Internet Of Things ◽  
Network Connectivity ◽  
Hospital Staff ◽  
Consumer Products ◽  
Implementation Framework ◽  
Hospital System ◽  
Healthcare Settings ◽  
Hospital Operations ◽  
Hospital Systems ◽  
The Impact

UNSTRUCTURED Hospital staff frequently perform the same process hundreds to thousands of times a day. Customizable Internet of Things (IoT) buttons, small, wirelessly-enabled devices that trigger specific actions with the press of an integrated button, and have the potential to automate some of these repetitive tasks. In addition, IoT buttons generate logs of triggered events that can be used for future process improvement. Although IoT buttons have seen some success as consumer products, little has been reported on their application in hospital systems. We discuss potential hospital applications categorized by the intended user group (patient or hospital staff). In addition, we examine key technological considerations, including network connectivity, security, and button management systems. In order to meaningfully deploy IoT buttons in a hospital system, we propose an implementation framework grounded in the Plan-Do-Study-Act method. Overall, IoT buttons have significant promise; future rigorous evaluation is needed to determine the impact of IoT buttons in real-world healthcare settings.

scholarly journals Patients' Health & Well-Being in Inpatient Mental Health-Care Facilities: A Systematic Review

2022 ◽  
Vol 12 ◽  
Author(s):  
Clara Weber ◽  
Virna Monero Flores ◽  
Theresa Poppy Wheele ◽  
Elke Miedema ◽  
Emma Victoria White
Keyword(s):  
Mental Health ◽  
Physical Environment ◽  
Mental Healthcare ◽  
Well Being ◽  
Health Care Facilities ◽  
Inclusion Criteria ◽  
Healthcare Facilities ◽  
Healthcare Settings ◽  
Care Facilities ◽  
Study Designs

Background: Previous research indicates that the physical environment of healthcare facilities plays an important role in the health, well-being, and recovery outcomes of patients. However, prior works on mental healthcare facilities have incorporated physical environment effects from general healthcare settings and patient groups, which cannot be readily transferred to mental healthcare settings or its patients. There appears to be a specific need for evidence synthesis of physical environmental effects in mental healthcare settings by psychopathology.Purpose: This review evaluates the state (in terms of extent, nature and quality) of the current empirical evidence of physical environmental on mental health, well-being, and recovery outcomes in mental healthcare inpatients by psychopathology.Method: A systematic review (PRISMA guidelines) was performed of studies published in English, German, Dutch, Swedish, and Spanish, of all available years until September 2020, searched in Cochrane, Ovid Index, PsycINFO, PubMed, and Web of Science and identified through extensive hand-picking. Inclusion criteria were: Adult patients being treated for mental ill-health (common mental health and mood disorders, Cochrane frame); inpatient mental health care facilities; specifications of the physical and socio-physical environment (e.g., design features, ambient conditions, privacy); all types of empirical study designs. Quality assessment and data synthesis were undertaken.Results: The search retrieved 1,068 titles of which 26 met the inclusion criteria. Findings suggest that there is only indicative evidence of the impact of the physical healthcare environment on patients' mental health, well-being, and recovery outcomes. There is significant lack of pathology-specific evidence. Methodological shortcomings and empirical scarcity account for the poor evidence.Conclusion: This review highlights the need for more research using advanced study designs.

scholarly journals Modeling the impact of hospital logistics on quality of care and patient satisfaction: Results of a survey in three public healthcare facilities in Fez, Morocco

2020 ◽  
Vol 13 (2) ◽  
pp. 296
Author(s):  
Youness Frichi ◽  
Fouad Jawab ◽  
Said Boutahari
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Large Scale ◽  
Scale Validation ◽  
Healthcare Facility ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
The Impact ◽  
Physical Accessibility

Purpose: The objective of this research is to examine the role of hospital logistics in improving quality of care and patient satisfaction. Thus, the paper focuses on modeling and evaluating the relationship between these three constructs.Design/methodology/approach: In the present study, hospital logistics was specified as a second-order construct composed of five first-order constructs: physical accessibility, waiting time, consultation time, hospital hotel services, and administrative procedures. A questionnaire was developed and administered face-to-face to 384 hospitalized patients in three public healthcare facilities in Fez-Morocco. Collected data were processed and analyzed deploying the PLS-SEM method and using SmartPLS3 software. Data analysis was carried out by considering two types of patient circuits according to the admission modes in the healthcare facility: Urgent Patients Circuit and Scheduled Patients Circuit. Thus, two PLS-SEM models were evaluated and validated.Findings: Results highlighted the significant impact of hospital logistics on quality and satisfaction. In particular, the results of the two models showed that the most preponderant hospital logistics component is physical accessibility which consists of the availability and accessibility of ambulances, medical and nursing staff, support and guidance staff, technical facilities and equipment, etc. Thus, hospital managers and health system stakeholders should pay particular attention to hospital logistics activities in general and specifically to the physical accessibility to improve the quality of care and patient satisfaction.Research limitations/implications: This study only included patients from three public healthcare facilities in Fez-Morocco. Also, the model variables of hospital logistics construct are restricted and were applied in a specific context. Besides, the sample size was relatively reduced. Thus, results generalization might be limited. Further studies including more patients from other territories and including other logistics components are needed for large-scale validation of the proposed model. Originality/value: The results of this study contribute to the scientific literature on hospital logistics and its role as a lever for quality of care and patient satisfaction.

scholarly journals Foundations of the Severe Acute Respiratory Syndrome Preparedness and Response Plan for Healthcare Facilities

2004 ◽  
Vol 25 (12) ◽  
pp. 1020-1025 ◽  
Author(s):  
Arjun Srinivasan ◽  
Lawrence C. McDonald ◽  
Daniel Jernigan ◽  
Rita Helfand ◽  
Kathleen Ginsheimer ◽  
...  
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Healthcare Facility ◽  
Lessons Learned ◽  
Healthcare Facilities ◽  
Airborne Infection ◽  
Healthcare Settings ◽  
Control And Prevention ◽  
Response Plan ◽  
Healthcare Administrators ◽  
Staffing Needs

AbstractObjective:To help facilities prepare for potential future cases of severe acute respiratory syndrome (SARS).Design and Participants:The Centers for Disease Control and Prevention (CDC), assisted by members of professional societies representing public health, healthcare workers, and healthcare administrators, developed guidance to help facilities both prepare for and respond to cases of SARS.Interventions:The recommendations in the CDC document were based on some of the important lessons learned in healthcare settings around the world during the SARS outbreak of 2003, including that (1) a SARS outbreak requires a coordinated and dynamic response by multiple groups; (2) unrecognized cases of SARS-associated coronavirus are a significant source of transmission; (3) restricting access to the healthcare facility can minimize transmission; (4) airborne infection isolation is recommended, but facilities and equipment may not be available; and (5) staffing needs and support will pose a significant challenge.Conclusions:Healthcare facilities were at the center of the SARS outbreak of 2003 and played a key role in controlling the epidemic. Recommendations in the CDC's SARS preparedness and response guidance for healthcare facilities will help facilities prepare for possible future outbreaks of SARS.

scholarly journals 188. Visualizing the Impact of a Wedding Leading to COVID-19 Outbreaks in Healthcare Settings, Washington State, July – August 2020

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S114-S114
Author(s):  
Audrey Brezak ◽  
Anna Unutzer ◽  
James W Lewis ◽  
Shauna Clark ◽  
Jessica Ferro ◽  
...  
Keyword(s):  
Public Health ◽  
Assisted Living ◽  
Contact Tracing ◽  
Healthcare Facilities ◽  
Healthcare Settings ◽  
Home Health Services ◽  
Effective Contact ◽  
Supported Living ◽  
Community Transmission ◽  
The Impact

Abstract Background Large social gatherings during the COVID-19 pandemic have been linked to extensive community transmission. Healthcare workers (HCW) that engage in these social gatherings pose a risk to the vulnerable patients they serve. Public Health—Seattle & King County identified a COVID-19 outbreak associated with a wedding in July 2020 when the 14-day incidence rate was 105 cases per 100,000 residents. HCW who attended the wedding were subsequently linked to 45 outbreaks in healthcare settings across three counties in the next month. Methods COVID-19 case interview data was used to identify HCW cases who reported the wedding as their exposure event. The Washington Disease Reporting System (WDRS), the state database in which COVID-19 cases and epi-linkages are tracked, was queried to identify healthcare outbreaks linked to the HCW wedding-attendee cases and the HCW that they infected. NodeXL was used to visualize the resulting chains of wedding-associated healthcare transmission using a Harel-Koren Fast Multiscale layout where the network visualization’s directed arrows represent putative links and direction of transmission. Numbers of associated settings, cases, and deaths were calculated. Results Seven HCW wedding attendees were linked to outbreaks in healthcare facilities that they worked at while infectious; HCWs linked to as many as six subsequent healthcare outbreaks. In total, the wedding was connected to 45 healthcare facilities: adult family homes (N=1), hospitals (N=1), supported living agencies (N=7) and associated group homes (N=38), assisted living (N=1), home health services (N=1), behavioral health (N=2), and rehab centers (N=1). Across the settings, 277 cases were identified, including 15 deaths. Conclusion A series of COVID-19 healthcare outbreaks was traced back to a wedding. Cases worked in multiple homes, agencies, and other healthcare settings which likely facilitated rapid and wide transmission; the structure of these healthcare settings often do not facilitate a single job providing enough hours and income to support an individual. In terms of public health learnings, addressing these outbreaks require effective contact tracing, multijurisdictional coordination, and for supported living, interventions need to be applied across households sharing staff. Disclosures All Authors: No reported disclosures

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